In Florida, there are 41 hospitals and 33 surgery centers, .... Our nurses are available 24 hours a ... the nurse to double check, verify and/or call the doctor.
2011
COMMUNITY REPORT
To m o r r o w ’s Te c h n o l o g y , H e r e To d a y .
Next Day Hip Replacement Patient, Richard Levesque
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University Hospital & Medical Center Leadership Team
Administrative Team (from left to right): Kristen Lindenboom, Assoc. VP of Operations; Jelden Arcilla, CNO; Aurelio Gonzalez, CFO
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The leadership team ver the past year we to support our surgical have made substantial product lines which are at University Hospital investments back into our is committed to service Orthopedics, Neurosurgery, Hospital including the Spine Surgery and General excellence by living our addition of state-of-the-art Surgery. We acquired the mission “To Help With latest state-of-the-art MRI equipment and upgrades throughout the facility. We Our Hearts, To Heal with equipment which allows completed the renovation Our Hands, To Give Hope for shorter exams and of our new 16 bed Center greater comfort for our and Comfort To All Who for Geriatric Behavioral patients. We are proud of Need Our Care.” Health at the Pavilion which all the hard work and serves as the only unit of its dedication the staff has kind specializing in care and treatment of accomplished over the last year to ensure our the 65-plus population in South Florida. The patients’ receive the very best care. Peri-Operative areas received new equipment
Richard Levesque Next Day Hip Replacement Patient
“I was astounded at the level of care and expertise the staff at the Orthopedic and Spine Institute had to offer. I was able to be back on my feet faster than I ever imagined.”
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University Hospital & Medical Center - Tamarac, FL University Hospital & Medical Center Leadership Team Jelden Arcilla - Chief Nur sing Officer Aurelio Gonzalez - Chief Financial Officer Kr isten Lindenboom - Associate VP of Oper ations
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“As part of the Institute for Healthcare Improvement (IHI) Team, we strive to fulfill the needs and expectations of our patients. We aim to establish a level of trust and connection with our patients, visitors, fellow coworkers, and community.” Amy Stromquist, RN, Emergency Services Elinor Kaplan, Volunteer Karen Mize, RN, Intensive Care Unit Jelden Arcilla, CNO Ingrid Brown, RN, Peri-operative Services Carleen Lewis, RN, 5th Floor Oncology
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HCA / East Florida Division About HCA HCA’s roots date back to 1968 when Dr. Thomas Frist, Sr. led a group of physicians to build a hospital in Nashville, Tennessee. Over four decades of hard work and dedication have made HCA – Hospital Corporation of America – the nation’s leading provider of quality healthcare services, with locally managed facilities that include approximately 164 hospitals and 106 outpatient surgery centers in 20 states, and throughout Great Britain. In Florida, there are 41 hospitals and 33 surgery centers, three division offices, and several other service facilities affiliated with HCA.
About HCA East Florida Division The East Florida Division, located in Ft. Lauderdale, encompasses 12 hospitals in South Florida and the Treasure Coast area in addition to multiple ambulatory surgery centers and imaging centers, a supply chain center, and an integrated regional laboratory. Together, the network employs more than 13,900 individuals and has close to 5,000 physicians on staff.
Our hospitals by market: Treasure Coast Market Lawnwood Regional Medical Center & Heart Institute Raulerson Hospital St. Lucie Medical Center Palm Beach Market Columbia Hospital JFK Medical Center Palms West Hospital Broward Market Northwest Medical Center Plantation General Hospital University Hospital and Medical Center Westside Regional Medical Center Miami/Dade Market Aventura Hospital and Medical Center Kendall Regional Medical Center
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Technology We are upgrading technology at an unprecedented rate to ensure we can continue to provide clinical excellence and optimal patient outcomes. From a new CyberKnife™ at JFK Medical Center and a Synergy S at Aventura Hospital and Medical Center for the latest in cancer fighting technology to the Electronic Health Record (EHR), our facilities have integrated wireless and digital technology through all modalities. Robotics is another strong focus – we now offer eight Robotic programs – enabling surgeons to perform precision work with very small incisions and faster recovery.
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Community Impact Summary * Univer sity’s Statistics Total Patients Treated Annual Hospital Admissions Annual Emergency Visits Total Medicaid Patients Treated Medicaid Market Share1 Total Uninsured Patients Treated2 Uninsured Care Market Share1 1
does not include outpatients
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52,995 11,430 28,767 6,347 7.1% 8,971 12%
excludes Medicaid patients treated
HCA East Flor ida Facilities and Services
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Hospitals Surgery Centers Diagnostic Imaging Centers Psychiatric Care Facilities Regional Laboratory Graduate Medical Education Programs Number of Licensed Beds
12 12 6 5 1 7 3,394
HCA East Flor ida Hospital Family Total Employees Total Physicians Total Volunteers
13,926 4,465 1,307 *Report reflects fiscal year 2010
Br inging State-Of-The-Art Technology To South Flor ida University Hospital and Medical Center acquired the latest state-of-the-art MRI equipment. This upgrade delivers highly detailed images of the human body with increased speed, enhanced resolution and unique applications. This advanced technology provides shorter exams and greater comfort for our patients.
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Univer sity’s Economic Impact TOTAL Salaries & Benefits
$53,091,000
Cost of Charity & Uncompensated Care
$10,349,000
Taxes Paid Federal Income Tax State Income Tax Indigent Care Tax Property Tax Sales Tax Unemployment Tax Other Local Tax
— — $1,369,000 $760,000 $360,000 $92,000 $25,000
TOTAL Taxes
$2,606,000
Capital Investment1
$2,059,000
Total Local Vendor Support Minority & Women Owned Business Support
$8,660,000 $655,000
Physician Specialty Coverage in the ED
$1,114,000
TOTAL Economic Impact 1
5 year annual average
$77,879,000
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Giving Back to the Community A partial list of the organizations benefiting from Univer sity Hospital & Medical Center’s
Community Support University Hospital & Medical Center is an affiliate of HCA East Florida. Our employees provide both financial and volunteer support to many civic organizations, schools, colleges, city projects, nonprofit and charitable organizations in their communities.
Uninsured/Under insured Patient Education
Aging and Disability Resources Center
HCA East Florida Hospitals are committed to helping uninsured/ underinsured patients who qualify for local and state health benefits. Each hospital offers on-site benefit education and Medicaid enrollment assistance.
American Cancer Society Relay for Life
Volunteer ing
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HCA Hope Fund Latin Chamber of Commerce National Parkinson Foundation
In 2010, HCA East Florida hospital employees and volunteers dedicated 377,444 hours of patient and family support. Events include participation in building homes with Habitat for Humanity, Making Strides for the American Cancer Society, and promoting wellness and education through complimentary health screenings and lectures. We sponsor the Team Storm Riders cycling team which ranked 49th in the country for raising funds for the National Multiple Sclerosis Society, with riding members from our hospitals’ staff.
Salvation Army Step Up for Students Sunrise Chamber of Commerce Sunset School Susan G. Komen for the Cure Tamarac Chamber of Commerce United Way
Helio Castroneves Helio Castroneves, three time Indy 500 Champion, spokesperson for HCA East Florida, takes time out of his busy schedule to visit pediatric patients.
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Consult-A-Nur se ® Healthcare Referr al & Information Consult-A-Nurse® is a free service from our HCA Hospitals designed to provide you with physician referrals and health information. Our nurses are available 24 hours a day by phone at 1-866-4-HCA-DOCs (1-866-442-2362). Physician Referral – Our service makes finding a doctor easier by providing information about physicians affiliated with HCA hospitals, including medical specialty, skills and experience, physicians who are accepting new patients, and office hours and location. Health Information – Our registered nurses provide consultation and answer health-related questions.
Awards and Recognition In 2010 many awards and recognitions were given to University Hospital and Medical Center (UHMC), acknowledging not only the outstanding patient care and services provided, but also the outreach efforts that support various civic, Accredited government and community Chest Pain Center groups. UHMC earned the Gold Seal of Approval™ for Stroke Accreditation by The Joint Commission. To earn this distinction, a disease management program undergoes an extensive, unannounced, on-site evaluation by a team of Joint Commission reviewers every two years. These programs are evaluated against Joint Joint Commission Commission standards Stroke Accreditation through an assessment
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of a program’s processes, the program’s ability to evaluate and improve care within its own organization, and interviews with patients and staff. University Hospital was recognized by Professional Research Consultants, Inc. annual survey for scoring in the top 10% nationwide for “Excellent” responses in Emergency Services. In addition, 6 nurses from the Orthopedic and Spine Institute successfully passed the Orthopedic Nurses Certification Board (ONCB). The ONCB certification exam recognizes a commitment to lifelong learning and a high level of knowledge that contributes to effective patient care and safety.
Step Up for Students Since 2005, HCA has redirected corporate income tax to the Step Up for Students program. Through this gift, lowincome students receive a K-12 scholarship enabling them to receive a quality education tailored for their specific needs. It is well documented that a “one size fits all” education is not the best approach for every student. Families with the means may choose the perfect school for their child, but that’s simply not an option for many people. Through this program children who qualify for the National School Lunch Program can receive scholarships. Qualifying parents can use these grants to send their child to the public or private school that best meets their child’s needs.
Patrick Schwend, Scholarship Recipient Patrick’s transformation was almost immediate. “They challenge your skills in every class,” he said. “It’s really personal. You build a relationship with the teachers”
Step Up for Students Program1 # of Low-Income Student Scholarships 1
$55,475,000 14,351
Represents 6 year contribution for HCA Hospitals in the state of Florida
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Quality and Patient Safety “Putting Patients First” is the foundation of our culture and passion for quality healthcare. Many of the initiatives we implement serve as national models for the industry today.
hCare Electronic Health Record (EHR) With EHR, access to patient health information is simplified by improving the quality, effectiveness, and efficiency of healthcare by immediately providing clinicians with accurate information needed to provide optimum patient care. It is our belief that EHR will be one of the most fundamental support systems for optimizing the quality of healthcare that we provide in our facilities.
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The hCare hub portal integrates the Electronic Medical Record of our physician practices to our hospitals with the portal interface, allowing physicians access to their patients’ clinical records, allowing for more efficient use of their time and resources with information at their fingertips, both on their office computers and via smart phone mobile technology.
“The staff and medical professionals at University Hospital believe in a foundation based upon trust, compassion, and respect.”
Errol Campbell, MD Internal Medicine
hCare Access HCA is excited to bring to our physicians and their office staff a faster and more convenient remote login solution “hCare Access.” Whether using a PC, MAC, or iPad, physicians have access to the same clinical applications they currently use at the hospital from virtually anywhere. Connection time is 75% faster than prior remote access solutions, and Single SignOn Password Management is available.
Computer ized Provider Order Entry (CPOE) CPOE is patient safety technology that allows providers to place orders directly into the clinical information system, checking each order against the patient’s allergies, and other pertinent clinical information. Providers are alerted to any potential contraindications or interactions at the time the orders are placed. HCA East Florida is moving to a streamlined process that eliminates opportunities for medical error. In addition to the safety checks, provider orders go immediately to the department(s) that will implement/initiate the order, leading to more timely and efficient patient care. We have implemented this system in all of our hospitals’ Emergency Departments and hospitalwide at St. Lucie Medical Center. All facilities of HCA East Florida will implement CPOE hospital-wide in 2011.
Electronic Bar-Coded Medication Administr ation HCA East Florida has implemented eMAR in all of our hospitals to prevent medication errors and improve patient safety. The critical components of this safety technology are bar-coded armbands, bar-coded medications, and safety checks within the eMAR software. Each patient receives an armband with their own unique bar code. Before a medication is administered, the bar code on the patient armband and the bar code on the medication are scanned allowing the nurse, or therapist, to verify the right patient
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is receiving the right drug in the right dose at the right time. The software checks each medication against the patient’s drug history and lab results. If conflicts or potential drug interactions are identified, warnings alert the nurse to double check, verify and/or call the doctor before administering the medication. HCA’s results with eMAR have been instrumental in encouraging the FDA to develop a standardized bar code system for use throughout the pharmaceutical industry and at all hospitals to improve patient safety. Bar Code Transfusion Administration enables clinicians to scan the existing patient ID band and the bar code on the blood product to ensure that the correct product is being issued and delivered to the correct patient for administration. This capability is similar to the functionality introduced by the eMAR & Bar Coding project (now, BCMA, “Bar Code-enabled Medication Administration”).
Picture Archiving and Communications Systems (PACs) & MUSE
The PACs system stores digital versions of patients’ clinical images such as CT and PET scans, MRIs and XRays so that they can be readily accessed by our clinicians at the hospital or at a remote location. The MUSE system digitizes EKG tracings, allowing for easy access for clinicians.
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Voice Recognition System
This system creates efficiency in our radiology departments by allowing our physicians to report their clinical findings directly on a system that recognizes their voice, eliminating the delays often caused by transcriptions. The report then gets reviewed on screen by the radiologist where it can be corrected, signed, and sent for utilization by other clinicians usually within a 30 minute time frame.
Emergency Department Management Module (EDM)
The Emergency Department Management Module (EDM) is used to manage the flow of patients through the emergency department from the patients’ arrival into the department through their departure. Both CPOE and eMAR fully integrate into EDM allowing for streamline communication of orders and medication administration between physicians and Emergency Department staff. EDM is also the technology that allows HCA East Florida to measure and track ER wait times accurately and in a timely manner.
Telehealth
HCA East Florida Division is piloting at JFK Medical Center the ability to monitor patients from a distance using electronic devices to record and send measurements of patient vital signs. Telehealth technologies are evolving to provide both patients and healthcare professionals with real-time interactive health systems that can engage both patients and their care management teams more fully in the treatment of their conditions. Upon discharge, patients are monitored and managed from home.
“The care I received from the Orthopedic and Spine Institute was exceptional. The amenities that were available after surgery allowed my recovery to exceed my expectations.”
– Richard Metz
Spine patient at University Hospital & Medical Center
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Specialized Care Emergency Department Excellence For the past few years, the entire HCA East Florida Division has been working diligently to improve the effectiveness and efficiency of its Emergency Rooms. Our dedication to enhancing care and improving ER processes has dramatically reduced wait times to below national averages. In fact, we’re so successful, average ER wait times are available to the public. Using various innovative methods, local residents have immediate access to average ER wait times. Patients have easy access to an estimate of how long they will have to wait to receive care in the ER, therefore providing them with the resources to make informed medical decisions about their urgent needs when seconds count. Wait times for all of our hospitals are updated every 30 minutes and are available on: 10
Via text message: Text “ER” to 23000 iPhone Web Application: http://er.hcaeastflorida.com iPhone “iTriage” Application: AppStore Roadside Digital Billboards throughout our region.
Legendary coach Don Shula, spokesperson for HCA’s East Florida Division hospitals
Since the ER wait times campaign was so successful with the communities we serve, we are now offering ER wait times for our hospitals with pediatrics. Our customers will be able to
text ERKids to 23000 and have access to immediate average ER wait times for children’s emergency care.
Rehabilitation Services Whether you suffer from a sports-related injury or pain and stiffness following surgery, we are here to help. The rehab team specializes in the treatment of stroke, arthritis, orthopedic conditions, cardiac disease, swallowing disorders and neurological impairment. All patients are fully evaluated by a therapist and an individualized treatment plan is established. Programs are geared to help patients achieve the highest functional level possible post-injury, illness or surgery. The Department of Rehabilitation Services features cutting edge equipment, a full range of ‘Nautilus-type’ strengthening equipment, whirlpools, fluido, paraffin bath, and aerobic equipment. The Department of Rehabilitation Services also has speech therapists certified in the use of Vital Stim used for the treatment of dysphasia, the inability to swallow correctly.
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Orthopedic & Spine Institute
Millions of Americans suffer from debilitating pain and stiffness in their joints. Thanks to the experts at The Orthopedic and Spine Institute at University Hospital and Medical Center, you no longer have to be one of them. Performing the latest advanced procedures in orthopedic care, our surgeons provide a variety of joint pain solutions that can help you get back to a pain-free life. When committing to joint surgery, explore all of your options. It’s the easiest way to make sure you are receiving the right procedure for your specific needs. • hana™ Hip and Knee Arthroplasty Table for hip replacements with reduced muscle disruption, less pain and faster rehabilitation. • Next day hip replacements - surgery today, home tomorrow • Orthopedic and Spine Patient Navigator - a dedicated certified orthopedic nurse offers personalized concierge service while assisting patients before, during, and after surgery with questions, care and rehabilitation. • Private Orthopedic Suites - over-sized, hotel-like suites accommodate a guest overnight and have a private physical therapy gym, to make therapy easy and convenient.
“Because I have always lived an active life, I was hesitant to hear that I would need surgery. Once I found out that I would be home from surgery and up walking the next day, my uncertainties subsided. Thanks to the Orthopedic and Spine Institute team, they made my Next Day Hip Replacement as seamless as possible in order to get me back to my everyday active lifestyle.”
– David Garnes
Orthopedic Patient at University Hospital & Medical Center
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Most orthopedic surgery centers offer pain management. But many focus solely on finding the problem. At University Hospital, we think differently, we concentrate on the solution to the problem, striving to maximize your comfort. Our HCA heritage, skilled surgeons and state-of-the-art facility support this way of thinking.
Wound Management The Wound Healing Center offers a unique outpatient program which provides comprehensive, advanced treatment to patients with chronic, non-healing wounds such as diabetic ulcers, pressure ulcers, venous ulcers and wounds resulting from trauma. The Wound Healing Center also specializes in healing Vascular Wounds, PostSurgical Wounds, Animal and Insect Bites. Special tests may be ordered to provide the treatment team with information about the flow of blood and oxygen to the wound. Once the test results are in, the wound care team will develop a treatment plan based on the patient’s special needs.
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Specialized Care (continued) When you call the Wound Healing Center for an appointment, you are taking the first step in caring for your wound. The experts at the Wound Healing Center use the latest research to make your healing process shorter and simpler. Wounds may not heal because of various medical conditions such as lack of proper blood flow and oxygen, as well as infections. The Wound Healing Center has the skills to assess the reasons your wound will not heal, take action to correct the situation, and develop a customized plan of care to begin the healing process.
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The Pavilion is a beautiful free standing state of the art behavioral health facility located on the campus of University Hospital and Medical Center. This 60-bed unit includes a cafeteria, gym, pool, indoor and outdoor group areas and is staffed by over 13 physicians that specialize in Psychiatry. The Pavilion has several programs to help you and/or your loved ones. They provide treatment to young patients (ages 4 to 17) with acute conditions that require 24 hour supervision. Psychiatrists, nurses, social workers, and recreational therapists assist patients with understanding mental illness, developing coping skills, and making better decisions. An array of adult care programs are available as well. Inpatient Care is provided to patients with symptoms so severe they require 24 hour supervision and behavioral health treatment. The inpatient treatment helps stabilize, diagnose, and treat the condition. A full range of services including psychiatry, psychiatric nursing, counseling psychotherapy and therapeutic activities are available to help patients develop strategies for minimizing symptoms, reducing stress, making better decisions, and coping with their emotions. The Partial Hospitalization Program (PHP) provides an intensive level of psychiatric treatment in an outpatient setting. The primary goal of PHP is to improve a patient’s level of functioning and reduce symptoms to prevent relapse or hospitalization. Each patient participates in a formal comprehensive clinical evaluation completed by a multidisciplinary team of psychiatrists, therapists and registered nurses. Individualized treatment plans incorporate the results of the multidisciplinary evaluations with the patient’s
strengths, limitations and goals for treatment. The patient’s goals are reviewed and updated weekly in team meetings and individual sessions. The Intensive Outpatient Therapy (IOP) Program provides comprehensive psychiatric care. Patients participate in treatment during the day and return home each afternoon, three to five days a week. Patients come to the program voluntarily as a transition from the hospital, their home, or by physician referral. Length of participation in the program varies with each individual and may range from 2 to 6 weeks on average. In October 2010, University Hospital opened The Center for Geriatric Behavioral Health, which is the only one of its kind in West Broward County. The Center for Geriatric Behavioral Health at the Pavilion is designed to treat and improve the lives of adults 65 years and older who are suffering from depression and other psychiatric diseases. As adults age they tend to experience life changing events that can cause an emotional and psychosocial strain. These events can trigger depression, anxiety, and mood disorders that are best treated by specially trained healthcare professionals. Special care is taken to meet their emotional and physical needs to assure their safety and well-being while in our care. Our patients will be treated by a variety of highly skilled healthcare professionals. Medical Physicians Geriatric Psychiatrists Geropsychiatric Nurses Licensed Clinical Social Workers Occupational and Recreational Therapists Physical Therapists Dietary and Nutrition Consultants For the aging population, The Center for Geriatric Behavioral Health offers two distinct programs; The Senior Treatment Program and the Senior Intensive Treatment Program. The Senior Treatment program is designed for those who have a higher degree of functioning prior to the onset of psychiatric symptoms. The Senior Intensive Treatment Program is designed for patients who are in need of a more specialized course of treatment and typically
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Pavilion team from left to right; Top row: Michael Alexander, Catryna Bryan, Ron Chambers, Carline Voltaire. Middle row: Ruth Annunziato, Nohoro Akyaz, Barbara Lay, Norma Brown, Sharon Camarho, Marcia Wignal, Sharon Blair-Moxam, Nadege Lanoue. Bottom Row: Young Lee, Elizabeth Andress, Ilene Rosenthal, Samiya Channe.
stay an average of 10-12 days. Our team of dedicated professionals develop a course of treatment based upon the individual needs of the patient. Treatment plans are closely monitored and updated as the patient progresses. All patients receive a comprehensive medical and physical evaluation by our interdisciplinary medical team. Treatment plans will include some or all of the following: Diagnostic Evaluation Medication Management Group Therapy Occupational and Recreation Therapy Physical Therapy Social Work Consultation Patient and Family Education Continued Care Education
Our admission process is completely confidential and available 24 hours a day, 7 days a week. Referrals may be made by psychiatrists or other physicians, social workers or counselors, psychologists, and other health professionals as well as family members, and clergy. The Intake Department can be reached at 954-724-6502. Lastly, the behavioral health professionals at the Pavilion’s Respond Service provide assessment 24 hours a day 7 days a week to assist in identifying individual’s behavioral health needs and to provide referrals to community resources, without charge or obligation. For more information about our services and the admitting process, please call 954-724-6502.
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iTriage HCA and East Flor ida
Check your Symptoms
As a community service, iTriage is brought to you by your local HCA facility. iTriage provides access to medical information on thousands of symptoms, diseases, and medical procedures.
Search or browse our database of thousands of symptoms for possible causes.
Helping you make better healthcare decisions
Read disease descriptions and get information about tests and treatment. Search for images or video and find doctor/nurse advice lines.
iTriage was developed by two Colorado emergency physicians to put better medical information into their patients’ hands. Drs. Peter Hudson and Wayne Guerra have now empowered an entire nation of healthcare consumers with a comprehensive and revolutionary acute care decision tool.
Accessibility
Additional Features ER Wait Times where available Healthcare Cost Information Physician/Hospital Quality Reports Access To Your Personal Health Record
iTriage is available as a free app for iPhone , AndroidTM, Blackberry® & Palm® Smartphones or at www.iTriageHealth.com ®
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Research Diseases and Procedures
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Follow Us on Social Media Social Media has become an important method of conversation for our communities. All of our 12 hospitals can be accessed through Facebook and Twitter and there is a video library available on YouTube. Be up-to-date on the latest technologies, services, and our community involvement.
Our hospitals’ websites don’t just give you information, they interact with you while giving you information. Social media gives you the ability to communicate with us directly and that is important to us. Social networking now accounts for 22% of all time spent online in the US A total of 234 million people age 13 and older in the US used mobile devices to access the internet Twitter processed more than one billion tweets in December 2010 and averages almost 40 million tweets per day. The number of social media users age 65 and older grew 100 percent throughout 2010, so that one in four people in that age group are now part of a social networking site.
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University Hospital & Medical Center - Tamarac, FL University Hospital N W
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University Pavilion
Building 7421 Building 7431
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Building 7171
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Use your smart phone to download directions to University Medical Center. Simply download a QR decoder app and take a picture of the code at left.
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University Hospital & Medical Center 7201 North University Dr. Tamarac, FL 33321 954-721-2200 www.uhmchealth.com
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University Hospital & Medical Center 7201 North University Dr. • Tamarac, FL 33321 954-721-2200 • www.uhmchealth.com To speak to a nurse regarding health questions or referrals, please call toll-free 866-442-2362
